Please email us the names of the additional participants. Please do not register more than 15 participants per form.

CSI

Brownie

Bear

Calculation

Payment

USD
ScoutPrograms2017

Troop Leader Information

Name
*

First Name Last Name

Main Number
*

-
Area Code Phone Number

Alt. Number

-
Area Code Phone Number

E-mail
*

Person Making Payment (if different)

First Name Last Name

Informed Consent and Acknowledgement

In consideration of my child’s participation in programs provided by the Pensacola MESS Hall, I indemnify and hold Pensacola MESS Hall and its affiliates, employees and agents harmless from and against any and all liability for negligence or medical expenses resulting from my child’s participation in such programs or other activities. I further release Pensacola MESS Hall and its affiliates, employees and agents from any and all negligence or other claims resulting from my child’s participation. I further understand that Pensacola MESS Hall does not provide medical insurance coverage for my child and that any medical expenses incurred will be paid by either my own medical insurance or myself. I hereby grant permission for my child to participate in all activities.

I give permission for my child’s photo and/or likeness to be retained and used by Pensacola MESS Hall without any remuneration or compensation.

Cancellation Policy & Tuition Refund

If a cancellation occurs…

Amount Refunded

5 or more calendar days before a program is scheduled to start (includes the weekend)

100%

1 to 4 calendar days before a program is scheduled to start (includes the weekend)

50%

Due to a no-show on the day the program is scheduled to start or subsequent days

0%

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.